Diode Laser for Treatment of Symptomatic Hemorrhoid: A Short Term Clinical Result of a Mini Invasive Treatment, and One Year Follow Up

• Authors: Abdolhadi Jahanshahi , Esmail Mashhadizadeh , Mohammad-Hossein Sarmast
• Languages of publication: EN

Abstracts

EN

Hemorrhoid is protrusion of plexus or blood vessels in the anal canal. The hemorrhoid may cause symptoms that are: bleeding, pain, prolaps, itching, soilage of feces, and psychologic discomfort. There are many methods for treatment of hemorrhoid like, medical therapy, cryo-therapy, rubber band ligation, sclerotherapy, laser, and surgery. All methods have some complication in postoperative period and recurrence.The aim of the study was to evaluate Diode laser for treatment of hemorrhoid.Material and methods. This study included patients who suffer from the hemorrhoid. Cases with fistula and fissure had been omitted. Patients with hemorrhoid in grade 2, 3, 4 and mixed were treated with diode laser. Follow up was done 1,7,14, 30, 90, and 360 days laser therapy.Results. In this study, 341 patients with hemorrhoid treated with diode laser were included. Results of follow-up were as follows: need for analgesia in hospital stay and home was very low total complication was seen in 12 patient (3.51%), edema in 8 patient (2.34%), hemorrhage and abscess each of them in 2 patient (0.58%), stricture and recurrence was zero after one year.Conclusions. All methods used for hemorrhoid treatment has advantages, disadvantages, and limitations. But treatment of hemorrhoid by Diode laser, which is done by skilled surgeon has several advantages over other treatments. This advantages include, less operation time, less pain and bleeding, allow quick healing of piles, no stricture, and minimal recurrence after operation.

Keywords

EN

diode laser; hemorrhoid; piles; bleeding

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2012
• Volume: 84
• Issue: 7
• Pages: 329-332

Dates

published

1 - 7 - 2012

online

30 - 8 - 2012

Contributors

author

Abdolhadi Jahanshahi

• Department of Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

author

Esmail Mashhadizadeh

• Department of Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

author

Mohammad-Hossein Sarmast

• Department of Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

References

• Thomson WH: The nature of haemorrhoids. Br J Surg 1975; 62: 542-52.
• Sneider EB, Maykel JA: Diagnosis and management of symptomatic hemorrhoids. Surg Clin North Am 2010; 90: 17-32, Table of Contents.
• Pandini LC, Nahas SC, Nahas CS et al.: Surgical treatment of haemorrhoidal disease with CO2 laser and Milligan-Morgan cold scalpel technique. Colorectal Dis 2006; 8: 592-95.
• Plapler H, Hage R, Duarte J et al.: A new method for hemorrhoid surgery: intrahemorrhoidal diode laser, does it work? Photomed Laser Surg 2009; 27: 819-23.[WoS]
• Katdare MV, Ricciardi R: Anal stenosis. Surg Clin North Am 2010; 90: 137-45, Table of Contents.
• Giamundo P, Cecchetti W, Esercizio L et al.: Doppler-guided hemorrhoidal laser procedure for the treatment of symptomatic hemorrhoids: experimental background and short-term clinical results of a new mini-invasive treatment. Surg Endosc 2011; 25: 1369-75.[WoS]
• Gao XH, Wang HT, Chen JG et al.: Rectal perforation after procedure for prolapse and hemorrhoids: possible causes. Dis Colon Rectum 2010; 53: 1439-45.[WoS]
• Wang D, Zhong KL, Chen JL et al.: Effect of diode laser coagulation treatment on grade III internal hemorrhoids). Zhonghua Wei Chang Wai Ke Za Zhi 2005; 8: 325-27.[PubMed]
• Karahaliloğlu AF: Laser hemorrhoidoplasty (LHP): A new surgical procedure for the treatment of advanced hemorrhoidal illness. Coloproctology 2010; 32: 116-23. [Article in German]
• Giamundo P, Salfi R, Geraci M et al.: The hemorrhoid laser procedure technique vs rubber band ligation: a randomized trial comparing 2 mini-invasive treatments for second- and third-degree hemorrhoids. Dis Colon Rectum 2011; 54: 693-98.[WoS]
• Usui Y: A new procedure of ICG enhanced diode laser therapy for hemorrhoids. Journal of the Japan Society of Coloproctology. 2003; 56: 815-18.

Identifiers

DOI

10.2478/v10035-012-0055-7